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Full text of "Rapid Population Growth Consequences And Policy Implications"

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Number of live births                                           294,175
All maternal deaths                                                    803 Maternal mortality per 10,000 live births                       27.3
Maternal deaths due to abortion                                  312 Maternal mortality due to abortion/10,000
live births                                                                10.6
Maternal mortality due to abortion
(percent)                                                                 38.8
Armijo and Monreal (89) estimate that the case fatality ratio of abor performed in Chilean hospitals oscillated around 0.5 percent. The bi placed upon Chilean hospitals by postabortion cases has been outlim Table 4. In 1 year (1960), the care of 57,368 cases required 184,000 days, involving an expenditure well in excess of 1 million dollars. Plaz; Briones calculated the cost of saving the life of a single patient with s complications to be approximately $3,000 (25).
An interview study of 3,776 women in Santiago, Concepcion, and t fagasta calculated that from 40 percent to 54 percent of all abortion hospitalized and from 26.7 percent to 40 percent of admittedly ind abortions result in hospitalization (22).
A Brazilian study (90) reported that puerperal infection has been a r cause of maternal mortality since 1931 and that abortion is responsible major proportion of puerperal infection. From 1944 to 1962, in one Paulo department of obstetrics, forty deaths due to puerperal infe occurred. Of these, twenty-four, or 60 percent, were associated with crii abortion. The study reports that eighteen of forty-two patients with s shock associated with criminal abortion died, producing a case fatality of 43 percent.
A Colombia study (59) reports a septic abortion case fatality ratio c percent in the Child Care Institute of Bogota" (1965-66). This ratio is al twenty-three times as much as the maternal mortality rate from all cau; the same institution (0.192 percent).
Reports from other developing countries reveal similar findings. As ah mentioned, Eraj (91) reported that Kenya statistics for 1964 show that tion deaths were half again the number of deaths caused by malaria.
A Malaysia report (92) on a study of 1,000 cases of abortion found 178 were threatened, 102 inevitable, 453 incomplete, 17 complet< missed, and 239 septic. For all types of abortion the ratio to deliverie: 1:6.8 or 14.7 percent. Seven women died, all from septic abortion, yields a case fatality ratio for septic abortion of 3 percent which is more four times that for all types of abortion (0.7 percent). Apparently ma; these cases were induced in a nonmedical setting."Population Pressure on Families: Family Size and Child Spac-